RxTriage Liaison (Infusion)

Durham, United StatesHybrid

Responsibilities

Receive and review all incoming specialty and HCPA medication orders/referrals.
Identify whether medication is billable under medical or pharmacy benefits and route accordingly.
Conduct preliminary benefits review to identify: Coverage
Identify missing elements and request documentation from providers as needed for appropriate routing.
Ensure readiness before finalizing referral destination.
Ensure referrals move seamlessly into the correct workflow for
Maintain compliance with payer rules, infusion therapy standards, and site of care policies.
Support audits or quality reviews by ensuring documentation is complete and consistent. Patient Interaction
Collaborate with formulary or reimbursement specialists to identify preferred alternatives when necessary.
Support process improvement efforts to streamline triage and referral routing.

experience when discussing site-of-care expectations or next steps. Additional Responsibilities
Skills: Strong interpersonal communication skills, ability to work independently and demonstrate good judgement, strong verbal and written communication, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other software programs and able to extract relevant information; strong organizational/administrative skills a must.
High school diploma or GED required
Current certification and/or licensure as a Pharmacy Technician in the state where the site is located is required (North Carolina).
Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe.
PTCB or NHA certification preferred. If the candidate does not have the PTCB or NHA at time of hire, they must commit to obtaining it within 9 months of employment.
experience as a pharmacy technician required 3+ years’
experience with infusions, coordinating and subcontracting referrals, infusion and medical reimbursement required;
experience must include medical pre-certification,
Experience with infusion, specialty pharmacy, and/or home infusion workflows strongly preferred